I/We hereby authorize Rapidan Service Authority, hereafter called RSA, to initiate debit entries (withdrawals from) and to initiate, if necessary, credit entries (deposits to) and adjustments for any debit entries in error to my (our) account indicated above and the depository named above (hereby called Depository) to debit and/or credit the same to such account. This authorization is to remain in full force and effect until RSA has received written notification from me (or either of us) of its termination in such time as to afford RSA and the Depository a reasonable opportunity to act on it.
Please allow 48 hours for RSA staff to modify your payment preferences.